Sexual and Reproductive Healthcare Perceptions Among Arab-American Women: Implications for Gynecological Health Outcomes

This literature review analyzes the sexual and reproductive healthcare perceptions of Arab-American (AA) women living in the United States and how this impacts the prevalence of gynecological diseases. Sexual health is viewed promiscuously within the AA population and is generally reduced to the physical act of intercourse. It is considered either an agent of sexual desire or a means to reproduce. This dichotomy overlooks aspects of gynecological health within a broader framework. This attitude is evident in the minimal utilization of preventative screenings and increased rates of sexually transmitted infections (STIs) and gynecological cancers. Consequently, this narrow view of sexual health perpetuates a cycle of neglect, leaving critical aspects of women’s health unaddressed and contributing to adverse long-term outcomes. Arabs in Michigan generally face poorer health outcomes than the broader population, particularly in women’s health and prevention. Studies show lower rates of STI testing and general understanding of gynecological health. Furthermore, screening rates for breast cancer and gynecological cancers are low. Contributing factors include limited education, religious fatalism, lack of spousal support, and cultural stigma. Additionally, because AA women are often grouped under a broad demographic category, specific health statistics are largely unknown, preventing recognition of their unique experiences. The sexual and reproductive healthcare perceptions of AA women result in lower utilization of screenings, higher rates of gynecological diseases, and a limited understanding of sexual health. Addressing these issues requires a culturally competent approach that considers the unique experiences of AA women.